NICOLE RAE TRUNK

LAKE GENEVA, WI
NPI1649410788
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  5514-26)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: IL  056008541)
Enumeration Date2009-03-03
Last Update Date2018-09-04
Business Address
NICOLE RAE TRUNK OTR/L
6722 HIGHWAY 50
LAKE GENEVA, WI 53147
Phone number: 262-248-2029
Mailing Address
NICOLE RAE TRUNK OTR/L
6722 HIGHWAY 50
LAKE GENEVA, WI 53147-3647
Phone number: